HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L s
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential ,/
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Shed
PROPOSED IMPROVEMENT LOCATION:
Address: 6602 Woodsmere Way, Fort Pierce, FL 34951
Property Tax ID#: 1301-607-0251-000-4 Lot No. 30
Site Plan Name: N/A Block No. 79
Project Name: N/A
DETAILED DESCRIPTION OF WORK:
Installation of Weather King pre-fabricated 10' X 16' storage shed.
New Electrical Meter N/A Second Electrical Meter N/A
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _ Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 160 square feet Sq. Ft. of First Floor: 160 square feet
Cost of Construction: $ 2300.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name David &Sharon Swartzel Name:Kevin R. Matyjaszek
Address:6602 Woodsmere Way Company:Excelsior Construction & Roofing
City: Fort Pierce State: Address: 1882 SE Crowberry Drive
Zip Code: 34951 Fax: City: Port St. Lucie State: FL
Phone No.772-293-1865 Zip Code: 34983 Fax:
E-Mail:sharonswartzel@gmail.com Phone No 772-418-8809
Fill in fee simple Title Holder on next page ( if different E-Mail info@excelsiorconstruction.net
from the Owner listed above) State or County License CGC1521911
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures, swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Own essee/ ontractor as Agent for Owner Signature of Contra r cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 64. COUNTY OF S. L eae
Sw3>rn to(or affirmed)and subscribed before me of Sw n to(or affirmed)and subscribed before me of
j/ Physical Presenc or Online Notarization Physical Presence or Online Notarization
this day of F uA / 202f by this day of a Aft 2020 by
Kwln� R, /L(a1�(1;GJSzB/a �eU/�y l5. /f1CJ7-1iG52ez
Name of person making state ent. Name of person making state t.
Personally Known ✓ OR Produced Identification Personally Known t�_OR Produced Identification
Type of Identification Type of Identification
PLucedW Pr uced
d�
(Signature of Notary Publi ignature of Notary Pub
ei CHARMAINE CHENAULT NE CHENAULT
MY C MI SION#GG 947824
Commission No. ;, M(W04MI§SION#GG94782 mmission No.
ApdI24 2021
EXPIRES.Apnl 24,2021 ''�dd v o`' god Thn1 Notary Pubk Ulderwdlers
Bonded Thru Nam Public
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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RECEIVED
DATE
COMPLETED
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